Circumcision Treatment & Surgery

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What is circumcision?

Circumcision is the extraction of the foreskin from the human penis. In the most basic procedure, the foreskin is opened to remove the adhesions and the foreskin is separated from the glans. Afterwards, a circumcision device also placed to cut off the foreskin. Domestically injected anaesthesia is generally used to reduce pain and psychological stress.

Medically, circumcision treatment or Phimosis surgery could be a treatment possibility for problematic cases of abnormalcy and redness in the penis that may not resolve with other treatments, and for chronic urinary tract infections. It’s contraindicated in cases of certain genital structure abnormalities or poor general health.

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CAUSES OF CIRCUMCISION

Some men ought to have a circumcision treatment due to medical issues such as:

Wounds of the foreskin that stops it from retracting
Persisting inflammation or infections of the penis
Tight foreskin causing pain or spraying when urinating
Repeated urinary tract infections.
Red patch, wart-like growth or ulcer appears on the end of the penis or under the foreskin.
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When to See a Doctor?

Symptoms are that your foreskin might be stuck in one place, either over the tip of the penis or behind.
With phimosis, you might also have the following signs:

Pain during urine Your foreskin will expand when you pee, like a balloon. It can be painful. You might see blood in the stream or in the toilet. The stream might seem weaker than normal.
Infections on foreskin or on tip You may get urinary tract infections. Symptoms include blood in your urine, pain or burning when you pee, the urge to go even when your bladder is empty, and pain or pressure in your lower abdomen or back.
Pain during foreskin retraction or movement You notice that your foreskin hurts. It might have discharge, too.
Pain while intercourse You might have pain with an erection.
White Ring The opening of your foreskin has a white ring that looks like scar tissue.
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BENEFITS OF CIRCUMCISION

Painless Circumcision has several benefits. It does not only boost penis health but also facilitate hygiene as a circumcised penis is easier to clean and wash.

Below listed are the circumcision benefits that include a lesser risk of

Certain Penis Conditions

These penile disorders include inflammation of the glans and foreskin, paraphimosis and phimosis when the foreskin gets stuck out of place.

Cervical Cancer for Partners

Female partners of circumcised men are at a lesser exposure towards cervical cancer via sex.

Sexually Transmitted Infections

Circumcision surgery in adults prevent the risk of sexually transmitted infections, including HIV.

Urinary Tract Infections

There 1000% safety from UTIs for circumcised men.

Penile Cancer

Men who had circumcision treatment are probably out of danger to get penis cancer.

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CIRCUMCISION : DIAGNOSIS & SURGERY

Circumcision at House of Doctors, Mumbai takes place when the malfunction of the foreskin inflicting mechanical (phimosis, paraphimosis) or infectious issues (balanitis, warts, lichen, lichen sclerosis, etc.) is diagnosed. An extended foreskin is not a disease, but surgical removal of all or a part of the foreskin can be additionally performed for aesthetic and comfort reasons. However, if a long foreskin covers the glans completely, the patients suffer from hypersensitivity of the glans, which can be bothersome during intercourse and can sometimes be the cause of premature ejaculation. 

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Available Surgical treatment options

Laser Circumcision

  • Laser circumcision is the most preferred form of treatment as it comes with quicker recovery and zero blood loss while the skin is cut.
  • As compared to other traditional methods, circumcisions via laser are more precise which even allows the stitches to dissolve faster within a week.
  • This becomes the biggest advantage as there are only specific follow-ups, ensures no pain and side-effects post-surgery.

Stapler Circumcision

  • In order to remove the foreskin from penis, circumcisions are performed with anstomat or stapler.
  • Mostly, ZSR device of second generation goes with procedure or a silicon ring that holds the operated skin together as a third generation treatment.
  • They fall automatically and are comfortable more than the metal clips.

Conventional Surgery

  • Circumcisions are performed with surgical blade in the conventional surgery.
  • The cutting tool can cause excessive bleeding more than any surgical procedure. The prosthesis covering is also relatively inferior.
  • Where a number of methods don’t work, the following controls the case with accurate utilization.
  • Until the wound doesn’t heal entirely, maximum care and rest is required than others.

Why choose Laser Surgery over Conventional surgery?

Advance Laser Surgery

  • No affect on fertility
  • Fit to resume your normal lifestyle after the next day
  • No wound and scars
  • 15 min procedure
  • Free follow up by doctors

Conventional Surgery

  • Multiple cuts and stitches
  • Painful treatment
  • High possibility of infections
  • Heavy blood loss
  • Long hospital stay required
  • Multiple doctor visits required
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Adult Circumcision

Circumcision surgery in adults is a procedure that removes the foreskin of the penis. The foreskin is the hood of loose skin that covers the pinnacle of the penis. The procedure is majorly performed using either the dorsal slit or the sleeve technique. The dorsal slit is especially useful in patients who have abnormalities in genital structure. The sleeve technique may provide better control of bleeding in patients with massively connected veins.

Circumcision Specialists most commonly performed on newborn infants. Circumcision treatment in adulthood are less common. As an adult, uncircumcised individuals can decide for themselves whether or not they need to endure the procedure. Whereas some might opt for circumcision for aesthetic, hygiene, or spiritual reasons, circumcision surgery in adults may also be need for numerous health reasons.

  • Wearing loose underwear that holds the penis in a position and doesn’t lose stability
  • Drinking clear fluids reduce pain during urination and dilute the acidity
  • Avoiding physical activity until the surgery has healed solely
  • Not using an antiseptic cream without the doctor’s recommendation as this can show adverse effect through infection or scarring

Erections may be painful throughout the recovery period. To reduce the prospect of nocturnal erections:

  • Urinate and empty the bladder before going to bed.
  • Sleep on a partial side, rather than on the back.
  • Fetal position while sleeping is essential.

PROCEDURE OF CIRCUMCISION

The Gomco clamp, the Plastibell device, and the Mogen clamp are three prime methods of Circumcision by House of Doctors. Each one works by alienating circulation to the foreskin to stop bleeding once the doctor cuts the foreskin. Newborn circumcision is a minimized procedure. For an adult, however, the surgery is moderately complex. It can take about thirty minutes or an hour.

An anesthesiologist will administer medication to help sedate the patient. Depending on the preferences, you may receive general anaesthesia or more localized anaesthesia. In the course of the procedure, the Circumcision Specialist at House of Doctors will move the foreskin aloof from the pinnacle of the penis and then back onto the shaft. How much skin needs to remove will be later measured by the doctor.

Then, the specialist will operate on the skin with the help of a scalpel. The skin will be cauterized or stitched back to the shaft with sutures that will dissolve in the case of adults. Whereas, the skin will be snipped away from the penis with scissors or a special appliance for an infant. When the stitches are in order and the penis is enfolded in a preventive dressing, the patient will be wheeled into the hospital room.

On the other hand, Laser circumcision is very precise. The laser device used to cut the skin ensures that circumcision recovery time is quick with minimal blood loss. The cuts on the skin are more explicit than standard procedures of doing circumcision. Sutures dissolve automatically within a few days. The dressing required is minimum. The number of follow-ups required is minimum. This is by far the safest and secure method of treatment accessible for circumcision. As long as there are not many complications, most patients can go back home on the day of the surgery itself.

Precautions

Some discomfort ordinarily happens after the laser circumcision, but the pain is not typically severe, as this is a minor operation. Pain medication can help.

Recommendations for the circumcision recovery time include:

  • Wearing loose underwear that holds the penis in a position and doesn’t lose stability
  • Drinking clear fluids reduce pain during urination and dilute the acidity
  • Avoiding physical activity until the surgery has healed solely
  • Not using an antiseptic cream without the doctor’s recommendation as this can show adverse effect through infection or scarring

Erections may be painful throughout the recovery period. To reduce the prospect of nocturnal erections:

  • Urinate and empty the bladder before going to bed.
  • Sleep on a partial side, rather than on the back.
  • Fetal position while sleeping is essential.

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CIRCUMCISION – FAQ'S

Circumcision Surgery Follow-Up

After circumcision, adults should take things forward gradually for 2-3 days. Drinking water and other fluid consumption, especially in the first 24 hours after the procedure are recommended. Icing the area for 10-20 minutes at a time for an hour can also be soothing for a circumcised adult. Also, prescribed antibiotics will be helpful in quick recovery. Bathing and other strenuous activities like running or riding must be avoided for 3-4 weeks.

A circumcised adult can start to walk for regaining activeness, going a little longer each day, but should wait 4 weeks at least to get back to tough activities like the gym or intense jogging.

At House of Doctors, circumcision professionals suggest to consult right away if one notices:

  • Any trouble peeing
  • A fever
  • Any bleeding
  • Foul smell at the tip of the penis
  • Bumps or lumps

For what reasons might an adult choose to get circumcised?

There can be multiple reasons why an adult can opt for a circumcision procedure. Some males choose to have the procedure done for cosmetic reasons while others might choose it because of an overly tight foreskin. As some may not have done the procedure as a child, they may opt for it as an adult. Knowing that most of the circumcisions can be performed without a general anaesthetic, a combination of local anaesthetics is instead used to bring easement to the procedure.

Prevention of infection and irritation

When the foreskin doesn’t pull back over the penis, it is called Phismosis. This leads to causing intolerable tightness, scarring, inflammation, and even infection. However, opting for circumcision can prevent the following condition.

Similarly, balanitis occurs when the head of the penis becomes inflamed or either swollen. It may be the outcome of an infection or irritation, but circumcision helps prevent it from re-developing again. It is a proven treatment for both conditions as advised by the Top Circumcision Doctors at HOD, Mumbai.

What will your results be?

The results you experience from circumcision for the most part will rely on the reason you had the procedure in the first place.

If you decide to have it to put an end to infections or various physical issues related to penis, Phimosis surgery in HOD, Mumbai is always very successful as you may not encounter any discomfort again in the future. If your circumcision was for religious reasons, you may feel further deeply personal about your beliefs when the procedure is about to finish.

Each person’s results may vary as each person may be affected in a different way. For the majority of individuals, the surgery will not hinder sexual function, urinating, or sensitivity in the longer run.

What is the recovery timeline in circumcision?

In the immediate hours and days after the surgery, you’ll seemingly experience swelling and bruising on and round the penis. This is to be expected in basic procedures. Nevertheless, applying an ice pack to your groin for 10-20 minute two hours each will bestow you relief comparatively from the recent surgery.

In the initial days of recovery, it’s vital that the dressings around your penis remain clean so there is no risk of contamination and infection. Going forward, the dressing will also be replaced by our circumcision specialists for maintaining hygiene and re-assurance purposes. You may be able to resume general physical activity, including exercise, four weeks after the procedure. Sexual intercourse may need a bit longer up to six weeks. Physicians at House of Doctors, Mumbai will guide you on a scheduled timeline based on your health.

Within two to three weeks the circumcision surgery will begin healing. However, you may need to request a week off from work to completely heal and settle with the surgical method soon.

What are the risks for adult circumcision?

Adult circumcision is a comparatively easier procedure, however, that doesn’t mean it is without risks.

The most common risks related to adult circumcision consist of:

  • Bleeding - You may witness bleeding for some hours or days after the procedure round the incision.
  • Infection - Infection at the incision is viable and this may delay recovery.
  • Reactions to anaesthesia - every individual may receive a certain type of anaesthesia before the procedure. Due to which, the given medications can show certain reaction like nausea, vomiting, and headache.
  • Wound complications - The incision and stitches may not heal properly initiating skin scars and problems.
  • Reattachment - The foreskin could reattach to the penis inappropriately. This condition can worsen the situation and require another surgery.
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